Examination  of 


Employes  for 


Tuberculosis 


Published  by  the  Committee  on  Factories  of  the 

Chicago  Tuberculosis  Institute 

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“Efficiency  of  the  worker  rests  on  health  as  its  foundation” 


Examination  of  Employes 

for 

Tuberculosis 


Published  by  the  Committee  on  Factories  of 
The  Chicago  Tuberculosis  Institute, 
Room  1351,  Otis  Building, 

Chicago 


“A  system  of  medical  examinations  is  an  essential  step  in  the  preser¬ 
vation  of  health  and  efficiency  of  a  working  force ” 


I 


TUBERCULOSIS 
PROBLEM 

IN  A  WORKING  PLACE 


GROUPS  OF  WORKERS 


GROUP  Y 


GROUP  V 


CONDITION 


REMEDY 


GROUP  I  "Open -Communicable  Cases. 

Juierca/ous ,  ' 

GROUP  IT  -Disease  JcifJe,  Proeress/i/e. 

Stibencu/oi/s . 


GROUP  12  Disease- Inacf/iT 

Titerevfaaj. 


DerbcSc  JCedfcaf  CYaminafkns. 
TJg/J  Cb/sdiiio/zs  J&r  Cfe&e 
Wcrb^Tp  Jerce.  | 

Cducaf/on  of  Jill  In  /frtnp . 

GROUP  ET  WorAea  Wr/h  tow  Ppsfance.  siapjfafiSaadkomm  Tn&f- 

GROUP  Y  ZDcrkfcs  in  Jherape  JfeoIIh .  men! Jbr  (p/vi/psZbTcjparfofll. 

RESULT 

HIGHER  STANDARD  y  HEAITH  AND  EFFICIENCY 

Jar  Copies  of  This  Poster  Jfrpfy  b  tie  Committee  0/2  Jhcfories  of 

The  Cbucago  T/bcradoJis  Insfifafe 


Digitized  by  the  Internet  Archive 
in  2019  with  funding  from 

University  of  Illinois  Urbana-Champaign  Alternates 


https://archive.org/details/examinationofempOOunse 


Periodic  Examination  and  Timely  Repair 
of  Machinery  as  Conservation  Measures. 

Periodic  examination  of  machinery  is  a  part  of  the  business 
policy  of  all  well-managed  establishments. 

Serious  damage  or  even  total  destruction  result  from  neglect 
of  timely  repair. 

Entailment  of  a  small  expense  today  means  prevention  of 
larger  expense,  or,  possibly,  of  total  loss  tomorrow. 

In  dealing  with  “inanimate”  machinery,  this  principle  is  fully 
recognized  and  universally  applied  as  a  matter  of  economy. 

As  a  factor  in  conservation  of  “human  machinery”  the  policy 
of  “periodic  examination  and  timely  repair”  is  still  in  need  of  fuller 
recognition  and  wider  application. 


The  Principle  of 

“Periodic  Examination  and  Timely  Repair” 

Applied  to  “Human  Machinery.” 

Efficiency  of  the  worker  rests  on  health  as  its  foundation. 

As  a  measure  of  conservation,  periodic  examination  of  health 
is  of  fundamental  importance;  without  it  “timely  repair”  is  im¬ 
possible. 

The  worker,  the  employer  and  the  public  are  gainers  by  the 
operation  of  a  system  of  examinations  rendering  possible  the  timely 
detection  of  “breaks”  in  the  health  of  workers. 

Periodic  medical  examinations  tend  to  conservation  of  health 
and  efficiency  of  a  working  force. 


Importance  of  Systematic  Examination 
of  Employes  for  Tuberculosis. 

In  the  detection  of  no  other  disease  does  the  value  of  super¬ 
vision  of  the  health  of  workers  stand  out  as  prominently  as  in  tuber¬ 
culosis. 

With  its  slowly  developing  group  of  symptoms  and  its  grad¬ 
ual,  and,  at  first,  imperceptible  impairment  of  working  power,  tuber¬ 
culosis,  in  a  large  number  of  cases,  passes  far  beyond  the  curable 
stage,  before  attracting  attention. 


5 


Its  early  detection  in  an  employe  is  of  great  importance  to 
himself,  his  co-workers  and  his  employer. 

The  chance  of  ultimate  “cure”  or  “arrest”  as  well  as  restora¬ 
tion  of  working  capacity  diminishes  with  the  growth  of  the  disease. 
The  possibility  of  infecting  others  grows  with  the  gradual  transfor¬ 
mation  of  a  “closed”  incipient  lesion  into  an  “open”  tuberculosis  with 
its  swarm  of  tubercle  bacilli  in  the  sputum.  The  interests  of  the  em¬ 
ployer  are  alike  vitally  affected  by  the  gradual  diminution  of  the  pro¬ 
ductive  capacity  of  the  tuberculous  employe  and  of  those  subsequently 
infected. 

These  conditions  call  for  a  system  of  medical  examinations  of 
employes  for  tuberculosis  in  all  working  places,  as  a  measure  of  great 
importance  to  all  concerned,  the  expense  entailed  in  the  maintenance 
of  such  examinations  being  far  outbalanced  by  the  benefits  derived. 

Method  of  Detection  of  Cases  of 
Tuberculosis  Among  Employes. 

The  gradually  growing  appreciation  of  health  as  the  greatest 
asset  of  the  worker  points  to  the  ultimate  adoption  by  all  industrial 
concerns  of  the  policy  of  periodic  medical  examinations  of  employes, 
financed  either  by  the  employer,  employes’  associations,  the  State,  or  all 
three  combined. 

At  the  present  time,  provision  for  examination  of  employes  is 
in  existence  in  comparatively  few  establishments,  and  this  is  either 
limited  to  cases  of  sudden  illness  or  accident,  or  is  one  of  the  condi¬ 
tions  of  admission  to  employes’  benefit  associations  which  generally 
include  only  a  part  of  the  working  force. 

It  is  a  matter  of  common  experience  in  the  majority  of  work¬ 
ing  places  that  under  the  present  conditions  little  or  no  cognizance 
is  taken  of  a  case  of  tuberculosis  until  the  case  is  far  beyond  the 
curable  stage. 

The  plan  of  examination  of  employes  described  below  is  recom¬ 
mended  for  adoption,  first ,  because  of  the  economy  of  its  administra¬ 
tion  (as  compared  with  the  cost  of  periodic  examinations  of  the  entire 
force)  and  hence  greater  possibility  of  its  general  acceptance;  second , 
because  the  operation  of  this  plan  draws  the  attention  of  the  employer, 
superintendent  or  foreman  to  the  health  of  the  individual  workers,  thus 
tending  to  greater  solidarity  of  interests,  and  hence  greater  efficiency 
of  the  entire  force. 


6 


The  details  of  the  plan  are  as  follows : 

1.  Physician  to  examine  all  suspicious  cases. 

In  places  with  established  medical  service,  this  task  may  be  as¬ 
signed  to  the  physician  on  the  staff  of  the  firm.  In  large  establish¬ 
ments  a  special  “tuberculosis”  examining  physician  may  be  necessary. 
In  either  case,  possession  of  special  experience  in  the  diagnosis  of 
tuberculosis  is  very  important. 

Duties  of  the  physician:  examination  and  diagnosis  of  cases; 
disposition  of  those  found  tuberculous;  instruction  of  the  sick  in  the 
essentials  of  treatment  and  of  the  “predisposed”  in  right  living  and  in 
measures  tending  to  increase  the  general  resistance;  frequent  noon  or 
evening  talks  to  the  entire  working  force  on  maintenance  of  health 
and  prevention  of  disease. 

The  hours  of  work  of  the  physician  are  determined  by  the  ex¬ 
tent  of  the  problem;  one,  two  or  more  afternoons  a  week;  or  a 
regular  daily  service.  Compensation  should  be  graduated  according 
to  the  amount  of  work  and  the  individual  qualifications. 

2.  Trained  nurse  to  assist  the  physician. 

Duties :  to  assist  the  physician  during  clinic  hours ;  to  visit  and 
study  the  homes  and  living  conditions  of  employes  pronounced  “tuber¬ 
culous”  or  “predisposed”;  to  instruct  in  the  fundamentals  of  right 
living  and  in  the  methods  of  care  and  prevention,  by  actual  demon¬ 
stration  in  the  employe’s  home;  to  gather  in  each  individual  case  in¬ 
formation  essential  to  its  right  solution. 

Compensation:  that  of  a  visiting  tuberculosis  nurse,  regulated 
by  the  responsibilities  of  the  position  and  individual  qualifications. 

3.  Classes  of  cases  to  be  examined. 

At  a  conference  between  the  superintendent,  the  physician  and 
the  nurse  it  is  agreed  that  the  working  force  is  to  be  watched  for 
the  following  classes  of  cases : 

(a)  Employes  in  whom  diagnosis  of  tuberculosis  was  previ¬ 
ously  made. 

(b)  Employes  whose  poor  general  condition  (malnutrition,  anae¬ 
mia  or  weakness)  in  connection  with  other  suspicious  symp¬ 
toms  suggests  the  possible  presence  of  the  disease. 

(c)  Employes  with  histories  of  protracted  (or  recurring)  cough 
and  expectoration. 


(d)  Employes  in  whose  families  or  homes  a  case  of  tuberculosis 
exists  or  in  which  a  death  from  tuberculosis  occurred. 

etc. 

In  large  establishments,  a  circular  letter  may  be  sent,  previous 
to  the  conference,  to  all  superintendents  or  foremen,  calling  attention 
to  the  above  mentioned  classes  of  cases  and  explaining  the  object  and 
scope  of  the  proposed  examinations. 

4.  Tuberculosis  Clinic. 

With  the  compilation  of  a  list  of  suspicious  cases,  a  tuberculosis 
clinic  is  established  on  the  premises  of  the  firm,  in  which  all  such 
cases  are  subjected  to  a  thorough  medical  examination. 

Each  individual  case  is  classified,  (a)  according  to  diagnosis: 
“tuberculous”  or  “non-tuberculous,”  “active”  or  “non-active,”  “open” 
or  “closed”;  (b)  according  to  necessity  of  change  of  occupation  or  dis¬ 
continuance  of  work;  (c)  according  to  need  of  hospital,  sanatorium  or 
home  treatment. 

The  solution  of  each  case  is  considered  after  a  full  analysis  of 
all  its  medical  and  social  aspects. 

At  times  some  difficulty  may  be  encountered  in  persuading  an 
individual  member  of  the  force  to  undergo  the  examination,  but,  as  in 
all  matters,  diplomacy  and  kindness  will  overcome  all  obstacles. 

Besides  serving  as  a  diagnostic  station,  the  clinic  maintains 
continuous  supervision  over  (a)  employes  classed  as  “predisposed”; 
(b)  employes  returned  to  work,  with  disease  “apparently  cured”  or 
“arrested”  by  institutional  or  home  treatment;  (c)  employes  taking 
“home  treatment”  and  assigned  to  the  clinic  by  the  employer. 


Since  the  submission  of  this  plan  to  the  Chicago  Tuberculosis 
Institute  a  year  ago,  a  systematic  campaign  for  its  adoption  by  indus¬ 
trial  concerns  in  this  city  has  been  carried  on  by  its  Committee  on 
Factories.  At  present  the  plan  is  in  operation  in  shops  and  offices  of 
the  International  Harvester  Company;  Montgomery,  Ward  &  Com¬ 
pany,  and  the  Chicago  Telephone  Company,  and  has  just  been  adopted 
by  Swift  &  Company.  The  firm  of  Sears,  Roebuck  &  Company  has 
for  some  time  given  special  attention  to  tuberculosis  in  their  exami¬ 
nation  of  employes. 


8 


The  campaign  among  employers  of  labor  is  being  continued 
by  the  Institute,  and  the  prospects  are  bright  for  a  more  universal 
adoption  of  the  plan  of  examination  as  above  outlined. 


Some  of  the  Problems  Met  in  the  Course 
of  Operation  of  the  Above  Plan. 

Some  of  the  important  problems  which  will  arise  in  the  course 
of  operation  of  the  plan  are  as  follows: 

(a)  Insufficiency  and  inefficiency  of  the  present  institutional  pro¬ 
vision  for  the  tuberculous  in  some  of  our  cities. 

The  number  of  curable  cases  of  tuberculosis  in  need  of  sana¬ 
torium  treatment  in  a  community  generally  outnumbers  the  existing 
sanatorium  facilities.  In  addition  to  this,  the  administrative  and  medi¬ 
cal  standard  of  most  of  our  hospitals  for  advanced  cases  is  such  as 
not  to  appeal  to  the  average  workman  unless  driven  there,  as  a  last 
resort,  by  the  utter  hopelessness  of  his  condition  or  by  absolute  desti¬ 
tution.  This  situation  unavoidably  results  in  the  continuous  infection 
of  homes  by  a  large  number  of  tuberculosis  cases  in  which  institu¬ 
tional  care  would  have  best  safeguarded  the  interests  of  the  patient 
and  his  family. 

In  submitting  the  above  plan  of  examination  of  workers  for 
tuberculosis,  the  hope  is  entertained  that  with  the  gradual  realization 
on  the  part  of  the  employers  and  employes  of  the  extent  and  importance 
of  the  tuberculosis  problem,  their  influence  will  be  exerted  in  favor 
of  more  comprehensive  and  more  efficient  institutional  care  of  the 
tuberculous. 

( b )  Lack  or  insufficiency  of  financial  provision  for  employes  in  case 
of  illness . 

Excepting  the  provision  connected  with  membership  in  em¬ 
ployes’  benefit  associations  in  a  small  number  of  concerns,  or  a  policy 
in  an  industrial  insurance  company,  the  average  employe  is  generally 
thrown  on  his  own  resources  in  case  of  illness.  The  attitude  of  some 
industrial  establishments  has  been  very  liberal  in  supplying  funds  for 
the  care  of  their  employes  in  sanatoria  and  hospitals,  and  even  for 
the  maintenance  of  the  families  during  the  illness  of  the  wage-earners. 

The  interests  of  the  employes  as  well  as  of  the  employers  de¬ 
mand,  however,  the  further  development  and  extension  of  the  prin- 


9 


ciple  of  “workmen’s  sickness  and  disability  insurance,”  as  but  par¬ 
tially  realized  at  present  in  the  employes’  benefit  associations. 

A  system  of  examination  for  tuberculosis  efficiently  operated  in  a 
working  place  will  tend  to  materially  reduce  the  financial  burden  im¬ 
posed  at  present  on  a  workman  and  his  family  by  delayed  diagnosis 
of  the  disease,  as  early  detection  of  tuberculosis,  made  possible  by  a 
system  of  periodic  examinations,  shortens  the  necessary  period  of 
treatment  and  increases  the  likelihood  of  “cure”  and  restoration  of  the 
working  power. 

(c)  Co-operation  with  the  family  physician,  the  city  tuberculosis  clinics 
and  other  organisations  in  effecting  efficient  supervision  and  care 
of  cases  of  tuberculosis  among  employes . 

Under  the  present  conditions  length  of  service  or  other  per¬ 
sonal  considerations  determine  the  active  interest  of  an  employer  in 
an  employe  stricken  with  tuberculosis.  The  employe  may  have  no 
resources  of  his  own  and  the  weekly  allowance  supplied  by  the  benefit 
association  may  be  insufficient  to  carry  him  through  the  required 
period  of  treatment  and  provide  for  his  family  during  that  time.  Co¬ 
operation  with  other  organizations  is  frequently  necessary  in  order  to 
effect  the  right  kind  of  arrangement  for  the  care  of  the  employe  and 
his  family. 

As  previously  stated,  diagnosis  of  all  suspicious  cases  in  a 
working  place  is  of  great  importance  to  the  employe  and  employer. 
A  satisfactory  arrangement  by  which  the  family  physician  of  the 
employe  may  co-operate  with  the  firm  in  this  respect  should  be  put 
into  operation.  If  an  employe  is  able  to  pay  for  medical  care,  a  notice 
of  his  illness  should  be  sent,  with  his  permission,  to  his  family  phy¬ 
sician. 

Abuse  of  medical  charity  should  be  avoided  in  any  arrangement 
the  firm  makes  for  the  care  of  its  tuberculous  employes.  Under  the 
present  conditions,  however,  a  large  proportion  of  working  people  find 
themselves,  unfortunately,  with  inadequate  means,  when  confronted 
with  a  chronic  disease ;  this  necessitates  close  co-operation  between  the 
tuberculosis  clinic  in  a  working  place  and  the  municipal  tuberculosis 
clinics,  as  well  as  tuberculosis  associations,  in  order  to  assure  proper 
supervision  and  care  of  all  discovered  cases. 


10 


Disposition  of  Various  Groups  of  Cases  Discov¬ 
ered  in  the  Course  of  the  Examinations. 

The  question  is  frequently  asked  what  disposition  should  be 
made  of  the  various  groups  of  active  and  inactive  cases  of  tuberculosis 
discovered  in  the  course  of  examinations.  An  answer  to  this  question 
is  very  important,  as  the  laity  is  under  the  impression  that  sanatorium 
treatment  is  the  only  solution  in  all  cases  of  tuberculosis,  no  matter 
how  slight  are  the  suspicious  physical  signs  or  how  inactive  is  the 
disease.  Such  a  procedure  is  of  course  impossible,  with  our  present 
limited  institutional  facilities  and,  fortunately,  is  unnecessary  under 
any  conditions. 

To  make  this  clear,  we  shall  consider,  in  a  general  way,  the 
various  groups  of  cases  encountered  in  a  working  place  and  suggest  a 
policy  to  be  followed  in  each  group : 

1.  “Open”  cases  of  tuberculosis  (tubercle  bacilli  in  the  sputum).  All 
stages  of  the  disease.  Unless  under  control,  this  group  is  a  prolific 
source  of  infection. 

Hospital  or  sanatorium  treatment  of  the  majority  of  cases  of 
this  group  is  the  ideal  solution  from  every  standpoint.  Treatment  at 
home  should  never  be  attempted  unless  conditions  permit  absolute 
control  of  infection.  While  the  majority  of  “open”  cases  are  beyond 
the  incipient  stage,  “arrest”  of  the  process  and  full  or  partial  restora¬ 
tion  of  working  power  takes  place,  with  proper  treatment,  in  a  con¬ 
siderable  proportion  of  this  group. 

Discharged  hospital  or  sanatorium  patients,  in  possession  of 
sufficient  working  power,  but  still  “carriers”  of  infection  (bacilli  in 
the  sputum)  may  be  given  light  outdoor  employment.  Indoor  work 
is  permissible  in  very  few  cases  of  this  kind  and  then  only  under  the 
condition  of  perfect  control  of  the  infection  on  the  part  of  the  worker, 
in  well-ventilated  rooms  and  not  in  contact  with  other  employes. 

Consideration  of  the  welfare  of  the  entire  working  force  de¬ 
mands  detection  and  control  of  the  group  of  “open”  cases,  as  the 
first  step  in  any  system  of  medical  examinations  established  in  a  work¬ 
ing  place. 

2.  “Active”  cases  of  tuberculosis,  without  tubercle  bacilli  in  the  spu¬ 
tum  (“closed” ) .  Chiefly  incipient,  favorable  cases  (exception: 
a  small  number  of  cases  reaching  the  advanced  stage,  without 
bacilli  in  the  sputum).  Unless  given  timely  and  efficient  treat¬ 
ment,  a  large  percentage  of  these  cases  pass  into  group  1  (become 
“open,”  communicable). 


11 


Sanatorium  treatment  is  the  most  efficient  method  in  dealing 
with  the  majority  of  these  cases.  Home  treatment  may  be  attempted 
in  surroundings  affording  all  the  essentials  of  sanatorium  life  and  with 
patients  possessing  the  necessary  power  of  self-control.  A  large  per¬ 
centage  of  this  group  recover  health  and  working  capacity  and  con¬ 
tinue  to  maintain  it  under  proper  conditions. 

When  “cure”  or  “arrest”  is  attained,  decision  as  to  proper  occu¬ 
pation  in  each  individual  case  should  be  based  on  a  thorough  study 
of  all  its  conditions.  Arduous  labor,  insufficient  night  rest,  lack  of  air 
(day  or  night)  and  insufficient  nourishment  lead  to  “breakdowns,” 
but  with  avoidance  of  unhealthy  occupations  and  proper  regulation  of 
home  life  (plenty  of  rest,  air  and  food),  maintenance  of  health  is  pos¬ 
sible  in  the  majority  of  these  cases  if  discovered  and  treated  in  the 
early  stages.  It  is  the  function  of  the  physician  and  the  nurse  em¬ 
ployed  by  the  concern  to  guide  these  men  and  women  in  the  essentials 
of  proper  living  and  in  the  avoidance  of  all  injurious  influences. 


While  from  the  standpoint  of  safety  of  a  working  force  the 
division  of  all  cases  of  tuberculosis  into  “open”  and  “closed”  is  of 
the  greatest  importance,  the  chances  of  recovery  in  the  individual  case 
are  influenced  by  other  factors,  equally  important,  viz. :  extent  and 
activity  of  the  process,  degree  of  constitutional  disturbance,  general 
condition,  etc.  The  more  recent  the  disease,  the  smaller  its  extent  and 
the  less  active  the  process,  the  more  favorable  is  the  prospect  of 
ultimate  recovery.  Hence,  “early  diagnosis”  should  be  the  slogan  in  all 
examinations  for  tuberculosis. 

In  arranging  institutional  treatment  for  employes  showing  signs 
of  “active”  tuberculosis  (“open”  or  “closed”)  the  institutional  re¬ 
sources  of  the  city  are  drawn  upon  and  any  expense  connected  with 
treatment  in  private  hospitals  or  sanatoria  is  borne  according  to  con¬ 
ditions,  either  by  the  employer,  the  employe,  employes’  benefit  associa¬ 
tion  or  some  other  organization. 

3.  “Inactive”  cases  of  tuberculosis  (signs  of  “healed”  or  “arrested” 
lesion  revealed  by  examination;  no  symptoms).  A  portion  of  these 
cases  come  from  tuberculous  families. 

4.  Workers  predisposed  to  tuberculosis  (by  malnutrition,  anaemia  or 

any  debilitating  condition). 


12 


Cases  belonging  to  the  last  two  groups  (particularly  group  4) 
form  not  an  inconsiderable  part  of  any  working  force. 

Most  effective  work  can  be  done  among  this  class  of  employes 
by  the  physician  and  nurse,  with  the  co-operation  of  the  employer. 
Contrary  to  the  method  applied  to  the  first  two  groups  (cessation  of 
work  followed  by  institutional  treatment),  the  majority  of  employes 
of  the  last  two  groups  may  continue  to  work  under  certain  conditions. 
Attention  should  be  given  to  the  character  of  work,  and  place  of  resi¬ 
dence  of  the  employe  (very  laborious  or  dusty  trades  should  be  avoided 
as  well  as  work  in  poorly  ventilated  quarters).  Education  in  right 
living  (sufficient  amount  of  rest,  air  and  food,  avoidance  of  all  injurious 
influences)  will  tend  toward  the  improvement  of  the  state  of  resistance 
in  the  majority  of  these  cases  and  is  bound  to  reflect  itself  in  the  atti¬ 
tude  of  the  entire  working  force  toward  the  problem  of  health. 

The  work  of  the  physician  and  nurse  should  be  to  a  great  ex¬ 
tent  educational,  extending  beyond  the  factory,  office  or  store,  right 
to  the  home  of  the  employe,  where  their  guidance  should  be  in  the 
direction  of  better  health  with  the  resulting  greater  efficiency. 

Conclusion. 

The  aim  of  the  proposed  plan  of  examination  of  employes  for 
tuberculosis  is,  first ,  detection  and  suppression  of  sources  of  infection 
in  the  working  place;  second,  detection  of  cases  of  the  disease  in  the 
curable  stages ;  third,  guidance  of  all  employes  predisposed  to  the  dis¬ 
ease  and  of  those  who  are  re-employed  after  having  recovered  their 
health  by  sanatorium  or  home  treatment;  fourth,  guidance  of  all  em¬ 
ployes  in  right  living  and  methods  of  prevention. 

The  watchwords  should  be:  education,  detection,  control. 

The  hand  of  the  engineer  is  on  the  throttle  of  the  manufacturing 
machinery;  the  hand  of  the  physician  should  be  on  the  health  of  the 
working  force ;  a  higher  standard  of  health  means  greater  efficiency. 


13 


f 


1 


The  Chicago  Tuberculosis  institute 

THE  CENTRAL  HEADQUARTERS 
OF  THE  ANTI-TUBERCULOSIS  PROPAGANDA  IN  CHICAGO 

Room  1351,  Otis  Building,  Madison  and  LaSalle  Streets. 


Officers  and  Members  of  the  Board  of  Directors  : 

Henry  B.  Favill,  M.  D., 

President . 


Frank  Billings,  M.  D., 

First  Vice-President. 

Robert  H.  Babcock,  M.  D., 

Second  Vice-President . 

Charles  L.  Allen. 

Robert  H.  Babcock,  M.  D. 
Frank  Billings,  M.  D. 

Nathan  S.  Davis,  M.  D. 

George  R.  Durgan. 

Mrs.  E.  C.  Dudley. 

William  A.  Evans,  M.  D. 
Henry  B.  Favill,  M.  D. 

Miss  Annie  Fitzgerald. 

David  R.  Forgan. 

Henry  N.  Foster. 

Miss  Harriet  Fulmer. 

Ethan  A.  Gray,  M.  D. 

James  Alexander  Harvey,  M.  D. 
Mrs.  James  L.  Houghteling. 


David  R.  Forgan, 

Treasurer. 

Sherman  C.  Kingsley, 

Secretary. 

Frank  S.  Johnson,  M.  D. 
Sherman  C.  Kingsley. 

O.  W.  McMichael,  M.  D. 

Mrs.  Jessie  L.  Moss. 

Rev.  Peter  O’Callaghan. 
George  W.  Perkins. 

George  A.  Ranney. 

John  Ritter,  M.  D. 

John  A.  Robison,  M.  D. 
Julius  Rosen wald. 

Edwin  W.  Ryerson,  M.  D. 
Theodore  B.  Sachs,  M.  D. 

John  C.  Shaffer. 

Miss  Laura  A.  Shedd. 

George  W.  Webster,  M.  D. 


Committee  on  Factories: 

Theodore  B.  Sachs,  M.  D.,  Chairman. 

Henry  B.  Favill,  M.  D.  Sherman  C.  Kingsley. 


Telephones  : 

Franklin  2562,  Franklin  2563. 


James  Minnick, 

Superintendent. 

Arthur  J.  Strawson, 

Assistant  Superintendent. 


f  • 

V 


UNIVERSITY  OF  ILLINOIS-URBANA 
614.542  C432E  C002 
Examination  of  employees  for  tuberculosi 


